Regional Inequalities in Mortality in Bulgaria // Регионални неравенства в смъртността в България
[EN] Regional mortality differences can be used while making regional health care policy decisions. Aims: To measure regional differences in age-standardized mortality rates from all causes of death, from Class II, IX, X, and XX and different specific causes of death for all 28 regions in Bulgaria for the period 2000-2012. To look for an association between regional mortality variations and socioeconomic factors. Materials and Methods: Data on deaths and number of inhabitants in all 28 regions are obtained from the national statistics. The average aged-standardized mortality rates are estimated with direct age-standardization using the revised European standard population. In addition rate ratios and absolute risk with respective 95% confidence intervals are calculated. Average age-standardized mortality rates are tested for correlation with the different socio-economic indicators. Conclusions: There are significant regional differences in crude and in age-standardized mortality from all causes of death and by specific causes of death. There is a change in the direction of all-cause mortality depending on the used indicators: crude mortality increases, and the age-standardized mortality shows a slight tendency for decrease. Disparities in standardized mortality between the areas remain constant. There are dependencies between socioeconomic indicators and age-standardized mortality from specific causes of death. As a result of the analysis “unhealthy living places” have been determined.
mortality, inequality, regions, unhealthy living, Социална медицина и организация на здравеопазването / Social Medicine and Organization of Healthcare
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